| NPI | 1003269242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA A180148) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT212134) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2022-10-26 |